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Giant fibrovascular polyp of the esophagus—imaging techniques for proper treatment planning: report of two cases

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Abstract

Giant fibrovascular polyps of the esophagus are rare, benign mesenchymal intraluminal lesions that arise from the cervical esophagus and can reach a very large size. Surgical excision is the treatment of choice, since endoscopic removal alone is not always feasible due to the presence of a very much vascularized stalk in most cases. We present two archetypal cases emphasizing the fact that these lesions can grow to huge masses with various and bizarre clinical presentation and they can arise (although rarely) at the level of the hypopharynx. We also aim to point out the role of imaging in defining the exact origin and characteristics of the stalk (width, vascularization) and the polyp structure (tissue components), thus providing useful information for planning the most appropriate surgical approach.

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Authors and Affiliations

  1. Diagnostic and Interventional Radiology, University of Pisa, Via Paradisa 2, 56100, Pisa, Italy

    Paola Vagli, Emanuele Neri, Lorenzo Faggioni, Rossella Scandiffio, Annalisa Mantarro & Carlo Bartolozzi

  2. Regional Referral Center for Diagnosis and Treatment of Oesophageal Diseases, Oesophageal Surgery Unit, Department of Gastroenterology, University Hospital of Pisa, Via Paradisa 2, 56100, Pisa, Italy

    Biagio Solito & Stefano Santi

  3. Second Department of Radiology, University Hospital of Pisa, Via Paradisa 2, 56100, Pisa, Italy

    Piero Boraschi

Authors
  1. Paola Vagli
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  2. Biagio Solito
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  3. Emanuele Neri
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  4. Lorenzo Faggioni
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  5. Rossella Scandiffio
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  6. Annalisa Mantarro
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  7. Stefano Santi
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  8. Piero Boraschi
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  9. Carlo Bartolozzi
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Corresponding author

Correspondence to Lorenzo Faggioni.

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Vagli, P., Solito, B., Neri, E. et al. Giant fibrovascular polyp of the esophagus—imaging techniques for proper treatment planning: report of two cases. Abdom Imaging 37, 512–518 (2012). https://doi.org/10.1007/s00261-011-9787-9

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  • DOI: https://doi.org/10.1007/s00261-011-9787-9

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